Organization
JOSHUA ALLIED HOME HEALTH CORPORATION
Active
Parent organization
JOSHUA ALLIED HOME HEALTH CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOSHUA ALLIED HOME HEALTH CORPORATION
Authorized official
MR. GERVASE BOLDEN (PRESIDENT/CEO)
(773) 458-7527
Entity
Organization
Contact information
Practice address
4250 N MARINE DR APT 2534, CHICAGO, IL 60613-1741
(773) 458-7527
Mailing address
4250 N MARINE DR APT 2534, CHICAGO, IL 60613-1741
(773) 458-7527
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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